License holder summary

FUENTES CHARLES D is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for FUENTES CHARLES D is 3524 W LAKE CTR DR SANTA ANA CA 92704. This licensed professional license is current. The license was granted 08/19/2002 and expired on 08/01/2016.

California

Department of Consumer Affairs

FUENTES CHARLES D
Pharmacy - Designated Representative (Exemptees)
License number
16698
Date granted
08/19/2002
Date expires
08/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
3524 W LAKE CTR DR SANTA ANA CA 92704
californialicensing.org
ID 11672166
LAST UPDATED 2024-04-12 06:58:04 UTC

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